Attune Tibia issue

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anonymous said:
This Z rep (who wishes no issue on the competition) thinks it’s a surface finish issue plus a loading issue (stem position, length, tray load position etc). Cement is very weak in tension so something is allowing for THAT.

Not sure the combination but there has been way too many of these revised in our area NOT to be recalled. This is bad for the patients, they deserve better than silence.

At least Z owns up to issues pretty quickly, sometimes to issues that really don’t exist :-(
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Like Durom Cup?
 






Simplex is only the leader because it was first to market. If it’s a cement issue why now and why only with Attune? Of course we see loosenings periodically with other knees but nothing like this. I don’t see any other company having to defend their knees like DePuy has. I wouldn’t point the finger at other cements. How does DePuy explain the MAUDE database reports on thousands of implants loosening due to their cements failing to bond? Why is it that they struggle to admit they have product issues? Why is the surgeon always to blame?
 






anonymous said:
Everyone in the industry knows there is an issue with Attune. Just spoke with the PA after doc left the room, asked about the new “S+” baseplate and how they like it (yes I am a competitive rep)... he said there’s still issues, still loosening and still coming out clean.
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S+ has only been available for 6-8 months now. If someone is truly seeing failure of that tibia then that’s not de-bonding. It was never ‘bonded’ in the first place. Either way I’m calling B.S. on that claim, we’ve done almost 2,500 in our are and have revised less than 5. We do 80% or more of the knee revisions here (still TC3), and if competitive docs were constantly pulling out loose Attune here we’d be hearing all about it.
 









I just saw a picture of that UK retrieval thing. It is mind blowing! 0% of the surface of Attune tibias with adherent cement v's 40% of the titanium Sigma tray with adherent cement.

I guess the surgeons must have sucked less back in the Ti Sigma days huh?
 



anonymous said:
S+ has only been available for 6-8 months now. If someone is truly seeing failure of that tibia then that’s not de-bonding. It was never ‘bonded’ in the first place. Either way I’m calling B.S. on that claim, we’ve done almost 2,500 in our are and have revised less than 5. We do 80% or more of the knee revisions here (still TC3), and if competitive docs were constantly pulling out loose Attune here we’d be hearing all about it.
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You know what, you're right. You haven't seen it, so there must not be an issue at all. In fact, this entire thread, 70+ pages of comments is all a facade. Everyone who says there is an issue is just lying. The most commented-on post on this entire forum... and it's all fake. The "S+" baseplate was released because the original baseplate works just fine.

I'm young and naive... quite frankly I'm sickened by this industry already. I'm glad Depuy released the S+, I hope it works... but do not try to deny the issues with that original BP. Where there is smoke, there is fire.
 



anonymous said:
I just saw a picture of that UK retrieval thing. It is mind blowing! 0% of the surface of Attune tibias with adherent cement v's 40% of the titanium Sigma tray with adherent cement.

I guess the surgeons must have sucked less back in the Ti Sigma days huh?
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Given it was a cadaver retrieval and 0% adherence with Attune tells us not a cement issue(given different results with Sigma)but instead a bonding issue. Not a design issue either-related to load forces. Question then: what is causing this?
 















anonymous said:
You know what, you're right. You haven't seen it, so there must not be an issue at all. In fact, this entire thread, 70+ pages of comments is all a facade. Everyone who says there is an issue is just lying. The most commented-on post on this entire forum... and it's all fake. The "S+" baseplate was released because the original baseplate works just fine.

I'm young and naive... quite frankly I'm sickened by this industry already. I'm glad Depuy released the S+, I hope it works... but do not try to deny the issues with that original BP. Where there is smoke, there is fire.
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The S+ is only released in FB, so the RP baseplate is still the original and being implanted. Thanks for your cliche "where there's smoke, there's fire" comments though. Most of the comments on here anyway are smoke blowers anyways. I'm sure 90% of the comments have done zero research, they just see one comment and feed off it. And the reason its happening to DePuy more so than others is because they're an easy target with a bad history (ASR recall). But if you look at data from that, the initial data was showing it was bad, and yes they tried to say "Oh no its fine" but it clearly wasn't. The Attune data clinically tells a different story. And every company has loosening issues, just so happens Attunes come out clean vs with a bit of cement on the baseplate. Which if you understand orthopedics, it doesn't matter how much cement is left on the implant when it loosens, a failure is a failure.
 



anonymous said:
The S+ is only released in FB, so the RP baseplate is still the original and being implanted. Thanks for your cliche "where there's smoke, there's fire" comments though. Most of the comments on here anyway are smoke blowers anyways. I'm sure 90% of the comments have done zero research, they just see one comment and feed off it. And the reason its happening to DePuy more so than others is because they're an easy target with a bad history (ASR recall). But if you look at data from that, the initial data was showing it was bad, and yes they tried to say "Oh no its fine" but it clearly wasn't. The Attune data clinically tells a different story. And every company has loosening issues, just so happens Attunes come out clean vs with a bit of cement on the baseplate. Which if you understand orthopedics, it doesn't matter how much cement is left on the implant when it loosens, a failure is a failure.
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The Bonutti article is “smoke” You might want to stay off the message board and put your full time and effort into sweeping this attune failure and inevitable recall under the rug. You’re going to need a huge rug.
 



anonymous said:
The S+ is only released in FB, so the RP baseplate is still the original and being implanted. Thanks for your cliche "where there's smoke, there's fire" comments though. Most of the comments on here anyway are smoke blowers anyways. I'm sure 90% of the comments have done zero research, they just see one comment and feed off it. And the reason its happening to DePuy more so than others is because they're an easy target with a bad history (ASR recall). But if you look at data from that, the initial data was showing it was bad, and yes they tried to say "Oh no its fine" but it clearly wasn't. The Attune data clinically tells a different story. And every company has loosening issues, just so happens Attunes come out clean vs with a bit of cement on the baseplate. Which if you understand orthopedics, it doesn't matter how much cement is left on the implant when it loosens, a failure is a failure.
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No smoke eh? No research? This year alone there have been 7 revised in my little ole 4 million dollar territory
 













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